CT Clinical skills for CNA Test

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Question

Answer

Handwashing Step 1

Begin handwashing by wetting hands and applying soap to hands

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Handwashing Step 2

Use friction to distribute soap and create lather cleansing front and back of hands, between fingers, around cuticles, under nails, and wrists?

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Handwashing Step 3

Provide cleansing friction for a minimum of 20 seconds with hands lathered with soap

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Handwashing Step 4

Rinse hands and wrists removing soap

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Handwashing Step 5

Use clean paper towel(s) to dry hands and wrists, and dispose of used paper towel in trash

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Handwashing Step 6

End handwashing skill with clean hands avoiding recontamination of hands (e.g., having direct contact with faucet handles or sink surfaces once hands washed)

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Indirect Care checkpoint 1

Greet resident, address by name, and introduce self

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Indirect Care checkpoint 2

Provide explanations to resident about care before beginning and during care

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Indirect Care checkpoint 3

Ask resident about preferences during care

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Indirect Care checkpoint 4

Use Standard Precautions and infection control measures when providing care

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Indirect Care checkpoint 5

Ask resident about comfort or needs during care or before care completed

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Indirect Care checkpoint 6

Promote resident’s rights during care

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Indirect Care checkpoint 7

Promote resident’s safety during care

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Ambulate the resident using a transfer/gait belt 1

Apply transfer/gait belt before standing resident, placing around the resident’s waist and over clothing, secure so that only flat fingers/hand fit under belt, and the belt does not catch skin or skin folds (e.g. breast tissue)

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Ambulate the resident using a transfer/gait belt 2

Provide signal or cue to resident before assisting to stand beginning and during care

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Ambulate the resident using a transfer/gait belt 0 (IC)

Follow the Indirect Care guidelines

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Ambulate the resident using a transfer/gait belt 3

Assist resident to stand while holding onto the transfer/gait belt without holding belt only at the front or only at nearest side (if assisting to stand from the side)

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Ambulate the resident using a transfer/gait belt 4

Ask about how resident feels upon standing

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Ambulate the resident using a transfer/gait belt 5

Walk resident while standing to the side and slightly behind resident

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Ambulate the resident using a transfer/gait belt 6

Provide support while walking resident with an arm around resident’s back holding transfer/gait belt

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Ambulate the resident using a transfer/gait belt 7

Ask about how resident feels during ambulation

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Ambulate the resident using a transfer/gait belt 8

Walk resident at least 10 steps

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Ambulate the resident using a transfer/gait belt 9

Assist resident to turn and have back of legs positioned against the seat of chair before resident sits

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Ambulate the resident using a transfer/gait belt 10

Provide support to sit resident back into chair

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Ambulate the resident using a transfer/gait belt 11

Remove transfer/gait belt from resident’s waist without harming resident (e.g., pulling transfer/gait belt) when seated in chair after ambulation

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Ambulate the resident using a transfer/gait belt 12

Maintain own body mechanics when assisting resident to stand and sit

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Ambulate the resident using a transfer/gait belt 13

Leave resident positioned in chair in proper body alignment and hips against back of seat

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Assist resident needing to use a bedpan 0 (IC)

Follow the Indirect Care guidelines

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Assist resident needing to use a bedpan 1

Place protective pad on bed over bottom sheet, under buttocks/upper thigh area, before placing bedpan, and remove the pad after bedpan is removed

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Assist resident needing to use a bedpan 2

Place and remove bedpan by either having resident positioned on side to turn on/off back, onto/off bedpan, or having resident raise hips off bed

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Assist resident needing to use a bedpan 3

Position bedpan under resident according to form/shape of the selected bedpan

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Assist resident needing to use a bedpan 4

Position bedpan to allow for collection

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Assist resident needing to use a bedpan 5

Raise the head of the bed after positioning the resident on the bedpan, and lower the head of the bed before removing bedpan

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Assist resident needing to use a bedpan 6

Ask resident to call when finished or if needs help, leaving call light within the resident’s reach before leaving resident to use bedpan

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Assist resident needing to use a bedpan 7

Leave toilet paper within resident's reach before leaving resident to use bedpan

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Assist resident needing to use a bedpan 8

Wear gloves when removing bedpan and while emptying and cleaning bedpan

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Assist resident needing to use a bedpan 9

Empty contents of bedpan into toilet, rinse bedpan pouring contents into toilet, and dry bedpan

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Assist resident needing to use a bedpan 10

Offer resident damp washcloth or paper towel, or hand wipe, to cleanse hands after bedpan used, before end of care

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Assist resident needing to use a bedpan 11

Complete skill storing bedpan and toilet paper, placing soiled linens in hamper, and disposing of trash

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Assist resident needing to use a bedpan 12

Keep resident positioned a safe distance from the edge of the bed at all times

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Change bed linen while the resident remains in bed 1

Keep resident positioned a safe distance from the edge of the bed at all times

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Change bed linen while the resident remains in bed 2

Remove and replace bottom sheet on one side of the bed, before turning resident to remove and replace sheet on the other side of the bed

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Change bed linen while the resident remains in bed 3

Keep resident positioned on a bottom sheet throughout procedure

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Change bed linen while the resident remains in bed 4

Secure bottom sheet to mattress (e.g., for fitted sheet secure over all four corners of the mattress; for flat sheet, tuck at head of bed and on sides and extend toward bottom of mattress so that resident’s heels are not against any exposed mattress)

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Change bed linen while the resident remains in bed 5

Leave bottom sheet free of creases or folds

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Change bed linen while the resident remains in bed 6

Turn or position resident to remove or replace sheet(s) without pulling sheets in a manner that creates friction and risks skin shearing

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Change bed linen while the resident remains in bed 7

Replace the top sheet over resident with a clean sheet

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Change bed linen while the resident remains in bed 8

Tuck top sheet under foot of mattress leaving sheet placed loosely, avoiding pressure against toes and allowing for foot movement

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Change bed linen while the resident remains in bed 9

Leave top sheet placed on top of resident to cover body up to shoulder level, without tucking in along sides

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Change bed linen while the resident remains in bed 10

Keep pillow positioned under resident’s head throughout and at the end of the procedure, except when removed briefly to replace pillowcase

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Change bed linen while the resident remains in bed 11

Complete procedure with resident positioned between the top and bottom sheet

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Change bed linen while the resident remains in bed 11

Complete skill placing soiled linens in hamper and disposing of trash

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Change resident’s position to a supported side-lying position 1

Assist resident with turning onto side before placing positioning devices

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Change resident’s position to a supported side-lying position 2

Keep resident positioned a safe distance from the edge of the bed at all times

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Change resident’s position to a supported side-lying position 3

Use positioning device/padding or pillow under or against resident’s back that maintains side-lying position

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Change resident’s position to a supported side-lying position 4

Leave resident positioned on side with upper knee bent in front of the lower leg

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Change resident’s position to a supported side-lying position 5

Support resident’s top leg by placing device(s)/ padding or pillow(s) between legs

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Change resident’s position to a supported side-lying position 6

Position device(s)/padding or pillow(s) placed between legs so that bony prominences of the knees and ankles are separated

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Change resident’s position to a supported side-lying position 7

Leave the resident positioned on side without lying on the shoulder, arm, and hand

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Change resident’s position to a supported side-lying position 8

Leave pillow placed under head positioned to also support the resident’s neck and chin

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Change resident’s position to a supported side-lying position 9

Place device/padding or pillow positioned to support the resident’s upper arm, supporting both the shoulder and arm

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Dress a resident who has a weak arm 1

Include resident in decision-making about clothing to wear

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Dress a resident who has a weak arm 2

Collect all garments before removing hospital gown

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Dress a resident who has a weak arm 3

Support affected arm while undressing and dressing

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Dress a resident who has a weak arm 4

Remove hospital gown

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Dress a resident who has a weak arm 5

Dress affected arm first

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Dress a resident who has a weak arm 6

Gather up sleeve to ease pulling over affected arm

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Dress a resident who has a weak arm 7

Dress resident by putting on pants, shirt with sleeves, and socks

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Dress a resident who has a weak arm 8

Move resident’s extremities gently without overextension or force when undressing and dressing

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Dress a resident who has a weak arm 9

Apply clothing correctly (e.g. front of shirt in front), adjust clothing for comfort, neatness, alignment, and close fasteners

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Dress a resident who has a weak arm 10

Place dirty gown in hamper

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Dress a resident who has a weak arm 11

Keep resident positioned a safe distance from the edge of the bed at all times

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Msr & Rcrd Urine output from drainage bag 1

Wear gloves while handling the urinary drainage bag, graduate, and bedpan (if used), and remove gloves before documenting I&O

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Msr & Rcrd Urine output from drainage bag 2

Set graduate or bedpan on barrier placed on floor and empty full contents of drainage bag into the graduate or bedpan

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Msr & Rcrd Urine output from drainage bag 3

Empty contents of urinary drainage bag without contaminating drainage tube (e.g., touching container) and close and protect drain (e.g., clamp and tuck drain into pocket) after emptying drainage bag

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Msr & Rcrd Urine output from drainage bag 4

Set graduate on flat surface protected with barrier to read, obtaining measurement by reading graduate at eye level, and if urine poured into graduate from a bedpan, complete task over toilet pouring the full amount of urine into the graduate

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Msr & Rcrd Urine output from drainage bag 5

Empty urine in graduate into toilet after measuring, rinse and dry container, pouring rinse water into toilet

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Msr & Rcrd Urine output from drainage bag 6

Record output with clean hands

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Msr & Rcrd Urine output from drainage bag 7

Record output within +/- 50cc's of nurse’s measurement

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Msr & Rcrd Urine output from drainage bag 8

Record output as urine and indicate the correct time on the I&O form

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Msr & Rcrd Urine output from drainage bag 9

Leave bag hanging from bed frame (not side rail), and drainage bag and tubing off (not touching) the floor

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Msr & Rcrd Urine output from drainage bag 10

Keep urinary drainage bag positioned lower than bladder throughout care

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Msr & Rcrd Urine output from drainage bag 11

Complete skill having stored equipment, placing soiled linens in hamper, and disposing of trash

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Feed resident sitting in a chair 1

Assist or cue resident to sit upright in chair before feeding

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Feed resident sitting in a chair 2

Offer and assist resident to wash hands before feeding using a damp washcloth, paper towel, or hand wipe

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Feed resident sitting in a chair 3

Sit while feeding the resident

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Feed resident sitting in a chair 4

Offer to protect resident’s clothing with a barrier before feeding, and if used, remove barrier at end of feeding

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Feed resident sitting in a chair 5

Use spoon to feed

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Feed resident sitting in a chair 6

Offer fluids to drink throughout feeding; at least every 2-3 bites of food

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Feed resident sitting in a chair 7

Allow resident the opportunity to swallow before feeding the next bite

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Feed resident sitting in a chair 8

Converse with resident during meal (e.g., encourage intake)

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Feed resident sitting in a chair 9

Leave area around resident’s mouth clean and dry when care completed

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Feed resident sitting in a chair 10

Complete skill placing any used linen in hamper, disposing of trash, and leaving overbed table dry

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Feed resident sitting in a chair 11

Record the amount of the resident’s food intake on the Food and Fluid Intake Form within 25% of the nurse’s measurement

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Feed resident sitting in a chair 12

Record the amount of the resident’s fluid intake on the Food and Fluid Intake Form within 25% of the nurse’s measurement

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Created by: 1233471087